HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER

For profit - Limited Liability company · LIONSTONE CARE chain · 84 certified beds · CCN 365737 · HEATHERDOWNS OPERATING COMPANY LLC · Lucas · OH


HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER is a 84-bed nursing home in TOLEDO, Ohio. CMS has certified it for Medicare and Medicaid since 1989-06-15. It averages 77.1 residents a day.

What harm was found in the violations cited at HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER?

CMS lists 54 health-inspection deficiencies for HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER since 2019-09-12, 30 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-06.

Survey dateTagDeficiencySeverity
2026-05-06F0580, F0694Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide for the safe, appropriate administration of IV fluids for a resident when needed.D
2026-01-28F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2026-01-28F0558, F0697Reasonably accommodate the needs and preferences of each resident. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-11-26F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-09-18F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.G
2025-02-10F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-02-10F0761, F0803, F0880Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Provide and implement an infection prevention and control program.E
2025-02-10F0550, F0607, F0677, F0687, F0759Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate foot care. / Ensure medication error rates are not 5 percent or greater.D
2024-12-31F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-11-19F0624Prepare residents for a safe transfer or discharge from the nursing home.D
2024-10-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-05-23F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-04-18F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-02-28F0624, F0677Prepare residents for a safe transfer or discharge from the nursing home. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-12-11F0880Provide and implement an infection prevention and control program.F
2023-12-11F0883, F0887Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2023-11-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-11-16F0550, F0760Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are free from significant medication errors.D
2023-10-10F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2022-09-22F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F
2022-09-22F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
2022-09-22F0625, F0656, F0657, F0676, F0677, F0686, F0689, F0692, F0755, F0756, F0758, F0880Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Provide and implement an infection prevention and control program.D
2019-09-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2019-09-12F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
2019-09-12F0578, F0625, F0657, F0661, F0676, F0688, F0695, F0808Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D

How is HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER staffed relative to the OH average?

MeasureThis facilityOH average
Total nurse staffing hours per resident per day3.086053.68589
Total nursing staff turnover (%)68.848.7
Average number of residents per day77.173.7

Who owns HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER, and what chain is it in?

HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name HEATHERDOWNS OPERATING COMPANY LLC and belongs to the LIONSTONE CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLIONSTONE HZ OPCO HOLDINGS LLCsince 01/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTKAZARNOVSKY, SOLOMON, STEIN, ABBAsince 01/01/2023
CORPORATE OFFICERCUSNER, ADAM, DEGYANSKY, JEFFREY, GOLDISH, ELIEZER, KAZARNOVSKY, SOLOMON, STEIN, ABBAsince 01/01/2020
OPERATIONAL/MANAGERIAL CONTROLCUSNER, ADAM, DEGYANSKY, JEFFREY, GOLDISH, ELIEZER, KAZARNOVSKY, SOLOMON, STEIN, ABBAsince 01/01/2023
ADP OF THE SNFCUSNER, ADAM, DEGYANSKY, JEFFREY, GOLDISH, ELIEZER, KAZARNOVSKY, SOLOMON, STEIN, ABBAsince 01/01/2023

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